An assessment of feeding jejunostomy tube placement at the time of resection for gastric adenocarcinoma: A seven-institution analysis of 837 patients from the U.S. gastric cancer collaborative

Gregory C. Dann; Malcolm H. Squires; Lauren M. Postlewait; David A. Kooby; George A. Poultsides; Sharon M. Weber; Mark Bloomston; Ryan C. Fields; Timothy M. Pawlik; Konstantinos I. Votanopoulos; Carl R. Schmidt; Aslam Ejaz; Alexandra W. Acher; David J. Worhunsky; Neil Saunders; Edward A. Levine; Linda X. Jin; Clifford S. Cho; Emily R. Winslow; Maria C. Russell; Kenneth Cardona; Charles A. Staley; Shishir K. Maithel

doi:10.1002/jso.23983

An assessment of feeding jejunostomy tube placement at the time of resection for gastric adenocarcinoma: A seven-institution analysis of 837 patients from the U.S. gastric cancer collaborative

Gregory C. Dann, Malcolm H. Squires, Lauren M. Postlewait, David A. Kooby, George A. Poultsides, Sharon M. Weber, Mark Bloomston, Ryan C. Fields, Timothy M. Pawlik, Konstantinos I. Votanopoulos, Carl R. Schmidt, Aslam Ejaz, Alexandra W. Acher, David J. Worhunsky, Neil Saunders, Edward A. Levine, Linda X. Jin, Clifford S. Cho, Emily R. Winslow, Maria C. RussellKenneth Cardona, Charles A. Staley, Shishir K. Maithel

School of Medicine

Research output: Contribution to journal › Article › peer-review

19 Scopus citations

Abstract

Background Jejunostomy feeding tubes (J-tubes) are often placed during resection for gastric adenocarcinoma (GAC). Their effect on postoperative complications and receipt of adjuvant therapy is unclear. Methods Patients who underwent curative-intent resection of GAC at seven institutions of the U.S. Gastric Cancer Collaborative from 2000 to 2012 were identified. The associations of J-tubes with postoperative complications and receipt of adjuvant therapy were determined. Results Of 837 patients, 265 (32%) received a J-tube. Patients receiving J-tubes demonstrated greater incidence of preoperative weight loss, lower BMI, greater extent of resection, and more advanced TNM stage. J-tube placement was associated with increased infectious complications (36% vs. 19%; P

Original language	English (US)
Pages (from-to)	195-202
Number of pages	8
Journal	Journal of Surgical Oncology
Volume	112
Issue number	2
DOIs	https://doi.org/10.1002/jso.23983
State	Published - Aug 1 2015

Keywords

chemotherapy
complications
gastric cancer
jejunostomy tube
resection

ASJC Scopus subject areas

Surgery
Oncology
General Medicine

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10.1002/jso.23983

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Dann, G. C., Squires, M. H., Postlewait, L. M., Kooby, D. A., Poultsides, G. A., Weber, S. M., Bloomston, M., Fields, R. C., Pawlik, T. M., Votanopoulos, K. I., Schmidt, C. R., Ejaz, A., Acher, A. W., Worhunsky, D. J., Saunders, N., Levine, E. A., Jin, L. X., Cho, C. S., Winslow, E. R., ... Maithel, S. K. (2015). An assessment of feeding jejunostomy tube placement at the time of resection for gastric adenocarcinoma: A seven-institution analysis of 837 patients from the U.S. gastric cancer collaborative. Journal of Surgical Oncology, 112(2), 195-202. https://doi.org/10.1002/jso.23983

An assessment of feeding jejunostomy tube placement at the time of resection for gastric adenocarcinoma: A seven-institution analysis of 837 patients from the U.S. gastric cancer collaborative. / Dann, Gregory C.; Squires, Malcolm H.; Postlewait, Lauren M. et al.
In: Journal of Surgical Oncology, Vol. 112, No. 2, 01.08.2015, p. 195-202.

Research output: Contribution to journal › Article › peer-review

Dann, GC, Squires, MH, Postlewait, LM, Kooby, DA, Poultsides, GA, Weber, SM, Bloomston, M, Fields, RC, Pawlik, TM, Votanopoulos, KI, Schmidt, CR, Ejaz, A, Acher, AW, Worhunsky, DJ, Saunders, N, Levine, EA, Jin, LX, Cho, CS, Winslow, ER, Russell, MC, Cardona, K, Staley, CA & Maithel, SK 2015, 'An assessment of feeding jejunostomy tube placement at the time of resection for gastric adenocarcinoma: A seven-institution analysis of 837 patients from the U.S. gastric cancer collaborative', Journal of Surgical Oncology, vol. 112, no. 2, pp. 195-202. https://doi.org/10.1002/jso.23983

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abstract = "Background Jejunostomy feeding tubes (J-tubes) are often placed during resection for gastric adenocarcinoma (GAC). Their effect on postoperative complications and receipt of adjuvant therapy is unclear. Methods Patients who underwent curative-intent resection of GAC at seven institutions of the U.S. Gastric Cancer Collaborative from 2000 to 2012 were identified. The associations of J-tubes with postoperative complications and receipt of adjuvant therapy were determined. Results Of 837 patients, 265 (32%) received a J-tube. Patients receiving J-tubes demonstrated greater incidence of preoperative weight loss, lower BMI, greater extent of resection, and more advanced TNM stage. J-tube placement was associated with increased infectious complications (36% vs. 19%; P",

keywords = "chemotherapy, complications, gastric cancer, jejunostomy tube, resection",

author = "Dann, {Gregory C.} and Squires, {Malcolm H.} and Postlewait, {Lauren M.} and Kooby, {David A.} and Poultsides, {George A.} and Weber, {Sharon M.} and Mark Bloomston and Fields, {Ryan C.} and Pawlik, {Timothy M.} and Votanopoulos, {Konstantinos I.} and Schmidt, {Carl R.} and Aslam Ejaz and Acher, {Alexandra W.} and Worhunsky, {David J.} and Neil Saunders and Levine, {Edward A.} and Jin, {Linda X.} and Cho, {Clifford S.} and Winslow, {Emily R.} and Russell, {Maria C.} and Kenneth Cardona and Staley, {Charles A.} and Maithel, {Shishir K.}",

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AU - Dann, Gregory C.

AU - Squires, Malcolm H.

AU - Postlewait, Lauren M.

AU - Kooby, David A.

AU - Poultsides, George A.

AU - Weber, Sharon M.

AU - Bloomston, Mark

AU - Fields, Ryan C.

AU - Pawlik, Timothy M.

AU - Votanopoulos, Konstantinos I.

AU - Schmidt, Carl R.

AU - Ejaz, Aslam

AU - Acher, Alexandra W.

AU - Worhunsky, David J.

AU - Saunders, Neil

AU - Levine, Edward A.

AU - Jin, Linda X.

AU - Cho, Clifford S.

AU - Winslow, Emily R.

AU - Russell, Maria C.

AU - Cardona, Kenneth

AU - Staley, Charles A.

AU - Maithel, Shishir K.

PY - 2015/8/1

Y1 - 2015/8/1

N2 - Background Jejunostomy feeding tubes (J-tubes) are often placed during resection for gastric adenocarcinoma (GAC). Their effect on postoperative complications and receipt of adjuvant therapy is unclear. Methods Patients who underwent curative-intent resection of GAC at seven institutions of the U.S. Gastric Cancer Collaborative from 2000 to 2012 were identified. The associations of J-tubes with postoperative complications and receipt of adjuvant therapy were determined. Results Of 837 patients, 265 (32%) received a J-tube. Patients receiving J-tubes demonstrated greater incidence of preoperative weight loss, lower BMI, greater extent of resection, and more advanced TNM stage. J-tube placement was associated with increased infectious complications (36% vs. 19%; P

AB - Background Jejunostomy feeding tubes (J-tubes) are often placed during resection for gastric adenocarcinoma (GAC). Their effect on postoperative complications and receipt of adjuvant therapy is unclear. Methods Patients who underwent curative-intent resection of GAC at seven institutions of the U.S. Gastric Cancer Collaborative from 2000 to 2012 were identified. The associations of J-tubes with postoperative complications and receipt of adjuvant therapy were determined. Results Of 837 patients, 265 (32%) received a J-tube. Patients receiving J-tubes demonstrated greater incidence of preoperative weight loss, lower BMI, greater extent of resection, and more advanced TNM stage. J-tube placement was associated with increased infectious complications (36% vs. 19%; P

KW - chemotherapy

KW - complications

KW - gastric cancer

KW - jejunostomy tube

KW - resection

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An assessment of feeding jejunostomy tube placement at the time of resection for gastric adenocarcinoma: A seven-institution analysis of 837 patients from the U.S. gastric cancer collaborative

Abstract

Keywords

ASJC Scopus subject areas

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